大隐静脉腔内激光消融联合泡沫硬化治疗静脉曲张性溃疡

摘要

目的 观察腔内激光消融(EVLA)大隐静脉联合泡沫硬化治疗下肢静脉曲张性溃疡(VULE)的临床疗效.方法 回顾性分析接受EVLA联合泡沫硬化治疗的19例VULE患者(20条患肢)的资料,并观察治疗效果.结果 EVLA联合泡沫硬化治疗19例20条患肢均获成功,溃疡长径术前[(2.30±1.61) cm],术后2周明显缩小到(0.90±0.32)cm(t=10.53,P＜0.01),溃疡愈合时间为7天～3个月,无复发病例.结论 大隐静脉EVLA联合泡沫硬化治疗VULE临床疗效好.%Objective To explore the clinical efficacy of endovenous laser ablation (EVLA) of great saphenous vein combined with foam sclerotherapy in the treatment of variceal ulcer of lower extremities (VULE).Methods Data of 19 patients (20 affected limbs) with VULE were analyzed retrospectively.EVLA combined with foam sclerotherapy was performed,and the clinical effect was observed.Results The treatment was successfully performed in 19 patients (20 affected limbs).Diameters of the ulcer was (2.30 ± 1.61) cm before operation and (0.90± 0.32) cm 2 weeks after operation,respectively (t=10.53,P＜0.01),and the ulcers healed from 7 days to 3 months after the surgery in 20 patients without recurrence.Conclusion EVLA of great saphenous vein combined with foam sclerotherapy has good clinical efficacy.